Healthcare Provider Details

I. General information

NPI: 1841277993
Provider Name (Legal Business Name): CHRISTOPHER D JOHNSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EAGLE AVE
OCEAN NJ
07712-7631
US

IV. Provider business mailing address

1200 EAGLE AVE
OCEAN NJ
07712-7631
US

V. Phone/Fax

Practice location:
  • Phone: 732-660-6200
  • Fax: 732-660-6201
Mailing address:
  • Phone: 732-660-6200
  • Fax: 732-660-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA45468
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: